A Study to Test How Different Doses of BI 685509 Are Tolerated in Patients With Liver Problems

NCT ID: NCT03842761

Last Updated: 2021-06-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-06

Study Completion Date

2021-05-20

Brief Summary

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The primary objective of this trial is the evaluation of safety and tolerability in patients with mild to moderate hepatic impairment \[Child-Turcotte-Pugh (CTP) classification A and B\] over different dose regimes of BI 685509 compared to placebo. A secondary objective is to investigate pharmacokinetics of different doses of BI 685509 in patients with mild to moderate hepatic impairment (CTP A and CTP B). In addition, another secondary objective is to compare safety, tolerability, and pharmacokinetics in patients with mild to moderate hepatic impairment (CTP A and CTP B) of single BI 685509 dose to individually matched healthy volunteers

Detailed Description

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Conditions

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Healthy Hepatic Insufficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Dose group 1

Low Dose

Group Type EXPERIMENTAL

BI 685509

Intervention Type DRUG

Tablet

Placebo

Intervention Type DRUG

Tablet

Dose group 2

Medium Dose

Group Type EXPERIMENTAL

BI 685509

Intervention Type DRUG

Tablet

Placebo

Intervention Type DRUG

Tablet

Dose group 3

High Dose

Group Type EXPERIMENTAL

BI 685509

Intervention Type DRUG

Tablet

Placebo

Intervention Type DRUG

Tablet

Dose Group 4

Dose for healthy volunteers dependent on results from prior dose groups with patients

Group Type EXPERIMENTAL

BI 685509

Intervention Type DRUG

Tablet

Placebo

Intervention Type DRUG

Tablet

Interventions

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BI 685509

Tablet

Intervention Type DRUG

Placebo

Tablet

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years at Screening
* Male or female. Women of childbearing potential (WOCBP) participants and male participants able to father a child must be ready and able to use a highly effective method of birth control per ICH M3 (R2) that results in a low failure rate of less than 1% per year when used consistently and correctly throughout the Trial
* Mean Arterial Pressure (MAP) ≥ 85 mmHg at screening visit
* Estimated Glomerular Filtration rate (eGFR) \> 70 mL/min/1.73m² according to the CKD-EPI formula at screening visit
* Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial

Key inclusion for Patient Groups 1 and 2

* If on treatment with non-selective beta blockers (NSBB), stable dose since ≥ 8 weeks prior to screening, with no planned dose change of the therapy during study conduct. All other medications stable 4 weeks prior to screening.
* Patient Group 1: Patients with CTP A and portal hypertension (defined as liver stiffness \>15 kPa during screening) and without a previous decompensation event \[ascites, variceal hemorrhage, encephalopathy, or jaundice (except Gilbert's disease or hemolysis when bilirubin will be almost exclusively indirect hyperbilirubinemia)\]. Self-limited and resolved historical events of decompensation like ascites or encephalopathy are allowed if they have occurred at least 6 weeks prior to screening and do not require continued therapeutic intervention at the time of screening.
* Patient Group 2: Patients with CTP B (with liver stiffness \>15 kPa during screening)

Key inclusion for Healthy Volunteer group

* Subjects who are healthy, according to the investigator's assessment, individually matched to a participant among Patient Groups 1 and 2 according to the following criteria: age within ± 5 years, body weight within ± 15%, and gender

Key exclusion for all trial participants

* Ongoing chronic alcohol or drug use, which in the investigator's opinion, makes the patient an unreliable trial participant or unlikely to complete the trial.
* History of relevant orthostatic hypotension, fainting spells, or blackouts based on the investigator´s judgment

Key exclusion for Patient Groups

* Patient Group 2: treatment-refractory ascites
* Patient Group 2: recent decompensation event (refractory ascites, recurrent variceal hemorrhage, recurrent hepatic encephalopathy, spontaneous bacterial peritonitis or hepatorenal syndrome) within 6 weeks of screening
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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American Research Corporation at the Texas Liver Institute

San Antonio, Texas, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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1366-0020

Identifier Type: -

Identifier Source: org_study_id

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